The holder whose full name is EDMOND JR, CHARLES VERNON,come from TACOMA WA,hold the Physician license(NO.01039522A) which status is Expired Non-Renewable.
| Name | EDMOND JR, CHARLES VERNON |
|---|---|
| License Number | 01039522A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | TACOMA |
| State | WA |